Organization Active NPI

JC Rehabilitation & Fitness, LLC

  • Physical Therapy Clinic/Center
  • Sterling Heights, MI
National Provider Identifier
1073961249
Registry record updated Dec 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
JC REHABILITATION & FITNESS, LLC
Practice address
38904 Dequindre Rd
Sterling Heights, MI 48310-2890
Phone
(586) 580-3929
NPI assigned
May 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Kashat
Title
Manager
Phone
(248) 519-3084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

38904 Dequindre Rd
Sterling Heights, MI 48310-2890

Mailing address

2338 Auburn Rd
Shelby Township, MI 48317-3809
Phone (586) 580-3929

Other names 1

  • JC Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2338 Auburn Rd
Shelby Township, MI 48317
Phone (586) 580-3929

38904 Dequindre Rd
Sterling Hts, MI 48310
Phone (586) 580-3929

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577491200000",
    "number": "1073961249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 AUBURN RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173809",
            "telephone_number": "586-580-3929",
            "fax_number": "586-580-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38904 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102890",
            "telephone_number": "586-580-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC REHABILITATION & FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-29",
        "last_updated": "2019-12-28",
        "certification_date": "2019-12-28",
        "status": "A",
        "authorized_official_last_name": "KASHAT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-519-3084"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JC Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JC Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.